Substance Abuse (Drug-Seeking Behavior) for Progressive Care Certified Nurse (PCCN)

Substance Abuse (Drug-Seeking Behavior)

Definition/Etiology:

• N/A

Pathophysiology:

• Focus: Prescription drugs 
  • Opioids
  • Anti-anxiety
  • Stimulants

Noticing: Assessment & Recognizing Cues:

• S/S
  • Stealing drugs or money
  • Manipulative 
  • Hostile, mood swings
  • Sleep changes
  • Poor decisions
  • Energetic vs. drowsy
  • Money challenges

Interpreting: Analyzing & Planning:

• Drug screen
  • Identify the drug use

Responding: Patient Interventions & Taking Action:

• Withdrawal therapy
• Behavior therapy
• Self-help groups
• Ongoing treatment program

Reflecting: Evaluating Patient Outcomes:

• In “Recovery” for life
• More engaged with life
• Mending relationships
• Continued support (e.g. NA).

Linchpins (Key Points):

• Acting odd? Take Action
  • Recognize= changes in personality/actions
  • Question= drug diversion/under the influence?
  • Identify= drugs used
  • Support= provide support where they are